Main Street Dialysis Center LLC
Name
Main Street Dialysis Center LLC
Director
Iheanyichukwu Aja-Onu, M.D.
Expiration Date
Phone Number
(516) 825-2076
UID (Facility ID - Site ID)
W561-0000
Site ID
0000
City
Freeport
CLIA Number
33D2118850
Street Address
3 N Main Street
State
NY
Zip Code
11520
County
Nassau
Country
United States
Fax Number
(516) 561-6748
Primary Contact
Cindy Onu
Contact Phone Number
(516) 825-2076
Certificate Type
WAIVER
Tests
Glucose
Facility ID
W561